Prostate treatment / Top clinic in Germany, Friedrichshafen

Prostate treatment at the Friedrichshafen clinic

Prostate treatment in the Friedrichshafen clinic is based on innovative and sparing treatment methods. The urological department of the clinic under the leadership of Dr. W. Esser-Bartels has an extensive experience as far as prostate treatment is concerned.

The innovative technical equipment of the clinic – the KP-laser and DaVinci robotic system – helps to effectively fight BPH and other prostate diseases.

BPH or benign prostate hypertrophy/ prostate hyperplasia is a benign enlargement of the prostate, which occurs in 50 - 60% of men over the age of 50 years. The cause of BPH is an elevation of prostate-hormone activity, which leads to an abnormal proliferation of prostate tissue.

The stages of BPH

The following symptoms often occur during the first stage of BPH: weak urine stream, frequent and prolonged urination (pollakiuria), particularly at night (nocturia), which is often accompanied by a muscle tension in the stomach area. The second BPH-stage is generally characterized by the same symptoms. Moreover, there might be a gradual increase of residual urine (when the bladder is not emptied completely) and stones are beginning to form in the bladder. During the third stage the patient suffers under the lack of the bladder contractile function (the so-called full bladder) or ischuria paradoxa, hydronephrotic transformation in kidneys as well as under renal insufficiency.

Other possible associated symptoms / complications

  • Acute urinary retention (a sudden inability to urinate)
  • blood in the urine (hematuria) or in seminal fluid (gemospermiya)
  • Infections of the urogenital system: e.g. cystitis, prostatitis, epididymitis, pyelonephritis and generalized purulent infection (urosepsis).

BPH (benign prostate hyperplasia) diagnostics

BHP-diagnostics usually begins with defining the patient's symptoms, using a specially prepared questionnaire. Past illness history is thoroughly investigated. The physicians then proceed with a digital rectal examination, aimed at determining the size, shape and consistency of the prostate gland, as well as at analyzing the prostate inflammation (e.g. if there is any pain on pressure). The specialists also check, if there is a prostate carcinoma. Along with urine laboratory tests (PSA, the presence of bacteria, blood impurities, cancer cells) uroflowmetry can be conducted (methods for measuring the flow of urine, allowing to determine the rate of urine flow).

Other diagnostic methods

  • Calculation of the volumetric flow of urine
  • Identification of possible tumors in the urogenital system
  • Definitions of dimensions ratio
  • Identifying bladder stones
  • Identification of anatomical changes

Imaging diagnostic methods:

  • Sonography (with a possibility to take prostate tissue samples)
  • Excretory urography
  • Voiding cystourethrography (assessment of the urethra)

Invasive diagnostic techniques:

  • Urethrocystoscopy, laparoscopy
  • Prostate biopsy

Medication prostate treatment in Germany:

Adenoma treatment in Germany is planned on the basis of symptoms and related manifestations of the disease. If hypertrophy is accompanied by insignificant complaints, the treatment is conducted with drugs of plant origin (phytotherapeutic agents). If the symptoms or complications increase, it is advisable to take chemical drugs with different mechanisms of action. Here the treatment effect might be, for example, aimed at suppression of the hormones production, etc.

Surgical treatment of benign prostate hyperplasia (BPH) in Germany

Surgical treatment of BPH (benign prostate hyperplasia or benign enlargement syndrome) in Germany can be carried out with a variety of techniques. The major methods of surgical treatment are a transurethral resection of the prostate or an open surgery, i.e. using access via the abdominal cavity.

It is necessary to mention that the Friedrichshafen specialists use only the proven treatment techniques to ensure the safety of the patient's health during prostate treatment.

The indications for the surgical treatment are, for example, complications of BPH and comorbidities. As a rule, transurethral resection of the prostate is considered to be the main method of surgical treatment of BPH (benign prostate hyperplasia). Open prostate surgery is only recommended in cases, when the tumor is large in size or there are considerable complications.

Other surgical options for BPH treatment:

  • transurethral (electro)resection, adenoma treatment in Germany
  • transurethral resection, adenoma treatment in Germany
  • (vapo)resection, adenoma treatment in Germany
  • bipolar transurethral (electro)resection treatment
  • treatment with KTP lasers (green laser)
  • adenoma treatment using open prostate surgery
  • treatment by means of DaVinci robotic prostatectomy (the most modern and effective method for removal of a prostate tumor).

The experts of the Friedrichshafen clinic would be happy to advise you in choosing a method of treatment. The clinic offers you a modern and effective treatment of all types of adenomas, including the complicated forms. Don’t hesitate to contact us - we will take care of your health! You can reach us under the phone number +49 7541 97 82 751 or via email: .

Prostate treatment

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Comments and questions

Olaf Z., Branson Thu, 27 Jul 14:09

I know that the treatment of BPH, which I decided for, only stops the growth of adenomas, but not guarantees the full recovery. That is why I began to think about surgery. At the same time, I searched through the internet in search of a competent clinic with a good reputation for the treatment of prostate. I also considered the medical treatment abroad. The Clinic of Friedrichshafen attracted my attention, because they have a very detailed website in English. I wrote a request to the clinic and attached all the medical information that I had available. On the same day I got a call from the hospital, they have a department dealing with foreign patients. The lady who called me, spoke perfect English, and explained to me all the important points, related to further treatment. I was not very happy about the surgery, but I did not have the choice. After a conversation with the clinic, the doubts were dispersed. As a result, I am very pleased that I turned to this clinic. They met me at the airport and brought to the clinic. I got an accommodation at the division for international patients; however, it looked more like a good hotel. There was no feeling of staying at the clinic. The service and medical care were perfect, everyone was courteous and polite. After the first interview with the doctor fears all my fears were away. He convinced me that everything will go without risk or complications. And it was so. A few days later I was back at home. I am so happy that there are professionals who can work wonders in medicine. Thanks to all!

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Medical Staff

MD Claus F. Fieseler

MD Claus F. Fieseler
Head of the Urology and Nephrology Department

MD Eberhard Köhler

MD Eberhard Köhler
Head physician assistant

MD Carsten Sippel

MD Carsten Sippel
Head physician assistant

Prof MD Wilhelm Esser-Bartels

Prof MD Wilhelm Esser-Bartels
Head physician assistant

MD Christina Schmitt

MD Christina Schmitt
Senior physician


Cancer treatment





Facts and Figures

  • 1364 inpatients
  • 167 laparoscopic surgeries
  • 98 laparoscopic prostatectomy
  • 42 da Vinci® surgeries

+49 7541 97 82 751


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